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Eating disorders in dementia

P Cullen1, F Abid, A Patel

  • 1Walsgrave Hospital, Coventry, UK.

International Journal of Geriatric Psychiatry
|May 1, 1997
PubMed
Summary
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Altered eating patterns are common in individuals with dementia. Changes like increased or decreased food intake and cravings for sweets were observed, with some linked to depression and Alzheimer's disease.

Area of Science:

  • Geriatric Psychiatry
  • Neuroscience
  • Clinical Psychology

Background:

  • Altered eating patterns are frequently observed in patients with dementia.
  • Understanding these changes is crucial for patient care and management.

Purpose of the Study:

  • To investigate the prevalence of various eating pattern alterations in dementia patients.
  • To identify associations between these eating changes and clinical factors.

Main Methods:

  • Prospective cohort study involving 124 patients diagnosed with dementia (DSM-III-R).
  • Utilized standardized assessments including the Geriatric Mental State Schedule and CAMCOG.
  • Gathered specific data on eating patterns in the month preceding the study.

Main Results:

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  • Over half of the patients exhibited altered eating patterns, including increased (21%) or decreased (22.1%) food consumption.
  • Specific changes noted were pica (2.9%), increased sweet preference (11.4%), and altered food fussiness (7.6% more, 4.8% less).
  • Decreased intake correlated with less cognitive impairment and depression; increased sweet preference was linked to Alzheimer's disease.

Conclusions:

  • Eating pattern disturbances are a significant and common feature in dementia.
  • These alterations may serve as indicators for specific conditions like Alzheimer's disease or depression.